MEDICARE: MARI ML YEE PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	31879	CA

General Provider Information

NPI Number	:	1114043775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARI ML YEE PHARM.D

Provider Business Mailing Address
First Line	:	1604 FUNSTON AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-3533
Country	:	US
Telephone Number	:	415-566-6989
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 FUNSTON AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-3533
Country	:	US
Telephone Number	:	415-566-6989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

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Directions to “ MARI ML YEE PHARM.D” Practice Location

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